Comprehensive geriatric assessment in older patients suffering from infective endocarditis. A prospective multicentric cohort study

Abstract Objectives To describe the impact of infective endocarditis (IE) on functional, cognitive and nutritional statuses, and to estimate the influence of these parameters on surgical management and mortality. Method Prospective study over 13 months in 14 French hospitals, including patients ≥ 75 years of age with definite or possible IE. A comprehensive geriatric assessment (CGA) was performed during the first week of hospitalization, including a retrospective estimation of functional status 2 months before hospitalization, and 3 months after. Results 120 patients were included (mean age 83.1±5.0 (75-101) years). IE was associated with a dramatic impairment of functional status between 2 months prior hospitalization and the first geriatric evaluation (90.8% able to walk vs 35.5% (p Conclusion Functional and nutritional abilities are crucial components that can be accurately explored through a CGA when managing IE in oldest patients.